PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2189 (2) PAYMENT ON BASIS OP FEE SCHEDULE.— Section 1833(a)(l)(J) of such Act (42 U.S.C. 13951(a)(l)(J)) is amended— (A) by inserting "or physician pathology services" after " 1834(b)(6))", and (B) by inserting "or section 1834(f), respectively" after " 1834(b)". (3) EFFECTIVE DATE.—The amendments made by this subsec- 42 USC 1395/ tion shall apply to services furnished on or after January 1, ^°^- 1991. (g) EFFECTIVE DATE.—Except as otherwise provided in this section, 42 USC 1395/ this section, and the amendments made by this section, shall take ^°^- effect on the date of the enactment of this Act. SEC 6103. ESTABLISHMENT OF AGENCY FOR HEALTH CARE POLICY AND RESEARCH. (a) IN GENERAL. —The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by inserting after title VIII the following new title: " TITLE IX —AGENCY FOR HEALTH CARE POLICY AND RESEARCH "PART A—ESTABLISHMENT AND GENERAL DUTIES "SEC. 901. ESTABLISHMENT. 42 USC 299. "(a) IN GENERAL.—There is established within the Service an agency to be known as the Agency for Health Care Policy and Research. "(b) PURPOSE.—The purpose of the Agency is to enhance the quality, appropriateness, and effectiveness of health care services, and access to such services, through the establishment of a broad base of scientific research and through the promotion of improve- ments in clinical practice and in the organization, financing, and delivery of health care services. "(c) APPOINTMENT OF ADMINISTRATOR.— T here shall be at the head of the Agency an official to be known as the Administrator for Health Care Policy and Research. The Administrator shall be ap- pointed by the Secretary. The Secretary, acting through the Administrator, shall carry out the authorities and duties established in this title. "SEC. 902. GENERAL AUTHORITIES AND DUTIES. 42 USC 299a. "(a) IN GENERAL. — In carrying out section 901(b), the Adminis- tratx)r shall conduct and support research, demonstration projects, evaluations, training, guideline development, and the dissemination of information, on health care services and on systems for the delivery of such services, including activities with respect to— "(1) the effectiveness, efficiency, and quality of health care services; "(2) subject to subsection (d), the outcomes of health care services and procedures; "(3) clinical practice, including primary care and practice- oriented research; "(4) health care technologies, facilities, and equipment; "(5) health care costs, productivity, and market forces; "(6) health promotion and disease prevention; "(7) health statistics and epidemiology; and " (8) medical liability.
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